Crawford County Job and Family Services

Crawford County Ohio Job and Family Services
Crawford County Ohio Job and Family Services
Crawford County Ohio Job and Family Services
Crawford County Ohio Job and Family Services
Crawford County Ohio Job and Family Services

Medical Assistance

Photo of child with doctorMedicaid is a state and federally funded health care plan administered by county job and family services. Medicaid provides health coverage to a number of different groups of people who meet financial requirements.

 

There are two major coverage groups: Covered Families and Children (CFC) and people who are Aged, Blind or have a Disability (ABD). Each major group has several programs. There are other health care programs available. Ohio’s Medicaid program provides a rich package of health care services including preventive care for consumers.

 

Ohio’s Medicaid program provides health care coverage to people who meet certain eligibility requirements. Depending on income, insurance status may affect eligibility and some consumers may be required to pay monthly premiums or co-pays.

 

The Medicaid Consumer Hotline is available to answer general questions at 1-800-324-8680 and is open Monday through Friday 7am to 8pm and Saturday 8am to 5pm EST. For people with hearing problems, the TDD number is 1-800-292-3572. More information about eligibility, covered services and programs can be found by visiting JFS Ohio Medicaid. Applications are available on our website, at our office, or at Ohio DJFS.

 

Medicaid covers the following individuals who meet eligibility criteria:

Children Under 19, Pregnant Women and Families with Children

Could I be eligible?


Healthy Start & Healthy Families

Who is covered?

Income Eligibility Guidelines

Gross Monthly Income

Family Size

1

2

3

4

5

6

Children (to age 19)

200 % FPL

$1,862

$2,522

$3,182

$3,842

$4,502

$5,162

Pregnant Women

200 % FPL

$1,862

$2,522

$3,182

$3,842

$4,502

$5,162

Families

90 % FPL

$838

$1,135

$1,432

$1,729

$2,026

$2,323

How do I apply?

Complete and submit an application in one of the following ways:

  • In person at agency during regular business hours (M-F 7:30 am – 4:00 pm)
  • Fax to agency at 419-562-1056
  • Mail to Crawford County JFS, 224 Norton Way, Bucyrus, OH 44820
  • Slip in drop box to east of front door (24/7)
  • Apply online through the State of Ohio – Online Benefit Application

What verifications are needed?

  • Proof of citizenship, or alien registration card/I-9
  • Social Security Card
  • Birth Certificate
  • Driver’s License, State ID, school records or grade cards for children under 16 years old
  • Pregnancy verification (if applicable)
  • Proof of all income (employment, child support, disability, unemployment, etc)
  • Additional verifications may be requested or required

What happens after I submit my application?

  • Healthy Start/Healthy Families applications are processed by a caseworker without a face to face appointment.
  • You will receive notification via mail if you are approved or denied.
  • We are required to determine eligibility within 30 days of your application

19-20 year olds (with no minor children, not pregnant, and not disabled)

Could I be eligible?

Income Guidelines

People in
Household

Gross Monthly Income
Limits

1

$268

2

$368

3

$434

  • If a dependent is a 19 or 20 year old and residing with his/her parent(s), parent(s) income is required to determine eligibility.
  • If the 19 or 20 year old is residing with a spouse the spouses income will be required to determine eligibility.
  • If the 19 or 20 year old is a full-time student and working, their income does not count in the budget.
How do I apply?

Complete and submit an application in one of the following ways:

  • In person at agency during regular business hours (M-F 7:30 am – 4:00 pm)
  • Fax to agency at 419-562-1056
  • Mail to Crawford County JFS, 224 Norton Way, Bucyrus, OH 44820
  • Slip in drop box to east of front door (24/7)
  • Apply online through the State of Ohio – Online Benefit Application
What verifications are needed?
  • Proof of citizenship, or alien registration card/I-9
  • Proof of all income (employment, child support, disability, unemployment, etc.
  • Additional verifications may be requested or required
What happens after I submit my application?
  • You will receive notification via mail if you are approved or denied.
  • We are required to determine eligibility within 30 days of your application

Aged, Blind and Disabled

Could I be eligible?

Older Adults and People with Disabilities

Who is covered?

Income and Eligibility Guidelines

Gross Income*

Resources*

Individual

Couple

Individual

Couple

Older Adults
(65 or older) &
Disabled People
(any age)

64% FPL

$611

$1,048

$1500

$2250

* Some eligibility categories have various resource tests. Deductions and exceptions apply. People with higher incomes may have medical expenses deducted from income calculations to "spenddown" to these income levels

How do I apply?

Complete and submit an application in one of the following ways:

  • In person at agency during regular business hours (M-F 7:30 am – 4:00 pm)
  • Fax to agency at 419-562-1056
  • Mail to Crawford County JFS, 224 Norton Way, Bucyrus, OH 44820
  • Slip in drop box to east of front door (24/7)
  • Apply online through the State of Ohio – Online Benefit Application
What verifications are needed?
  • Proof of citizenship, or alien registration card/I-9
  • Social Security Card
  • Birth Certificate
  • Driver’s License or State ID
  • Proof of all income (employment, child support, disability, unemployment, etc)
  • Proof of resources (bank statements, stocks, bonds, IRA, trusts)
  • Proof of disability (doctor statement, doctor/hospital records)
  • Social Security award letter
  • Additional verifications may be requested or required
What happens after I submit my application?
  • We offer face to face appointments for you or your Authorized Representative Monday/Tuesday and Thursday/Friday from 8 - 11am and 1 - 3pm.

If you cannot come to an appointment during regular business hours, you can file an application at any time and we will contact you to make other arrangements

Disability Medical Assistance

If you are not pregnant, do not have children in your household and are not Aged, Blind or Disabled (per Social Security), you may still be eligible for Medicaid if you believe you are disabled. DMA provides medical assistance to certain low-income Ohioans who are medication dependent and not eligible for Medicaid. Services offered through the DMA Program include coverage for doctor visits and prescription drugs among other services.

 

Could I be eligible?

Older Adults and People with Disabilities

Who is covered?

Income and Eligibility Guidelines

Gross Income*

Resources*

Individual

Couple

Individual

Couple

Older Adults
(65 or older) &
Disabled People
(any age)

64% FPL

$611

$1,048

$1500

$2250

* Some eligibility categories have various resource tests. Deductions and exceptions apply. People with higher incomes may have medical expenses deducted from income calculations to "spenddown" to these income levels

How do I apply?

Complete and submit an application in one of the following ways:

  • In person at agency during regular business hours (M-F 7:30 am – 4:00 pm)
  • Fax to agency at 419-562-1056
  • Mail to Crawford County JFS, 224 Norton Way, Bucyrus, OH 44820
  • Slip in drop box to east of front door (24/7)
  • Apply online through the State of Ohio – Online Benefit Application
What verifications are needed?
  • Proof of citizenship, or alien registration card/I-9
  • Social Security Card, Birth Certificate, Driver’s License or State ID
  • Proof of all income (employment, child support, disability, unemployment, etc)
  • Proof of resources (bank statements, stocks, bonds, IRA, trusts)
  • Proof of disability (doctor statement, doctor/hospital records)
  • Proof of SSI application and/or status from the Social Security Office
  • Additional verifications may be requested or required
What happens after I submit my application?
  • If you cannot come to an appointment during regular appointment times, you can file an application at any time and we will contact you to make other arrangements
  • To begin the disability determination process, your caseworker will review your medical records and may request additional records from any of your doctors.
  • After gathering all of your records, your file will be sent to the Ohio Department of Job and Family Services Disability Determination Unit where they will review your file and make a decision about your disability status. There is currently not a specific timeframe provided for this process.
  • If your case is approved and you are deemed disabled, you maybe eligible for Medicaid.
  • If your case is deferred, it means ODJFS needs more information to make a decision.
  • If your case is denied, it means ODJFS has reviewed your records and finds your are not disabled. You are not eligible for Medicaid for people with disabilities.
  • If you are not satisfied with the decision of ODJFS, you do have State Hearing Rights and may appeal their decision.

Medicare Premium Assistance Program

This program helps people eligible for Medicare who have limited income and assets get help in paying the cost of one or more of the following:

  • Medicare Premium(s)
  • Medicare Deductibles
  • Medicare coinsurance

Help with Medicare Expenses (Medicare Premium Assistance Program) – check out this booklet if you would like to see if you are eligible to have your Medicare premiums paid.

 

Could I be eligible?

Medicare Premium Assistance Program (MPAP) Levels

Category Name:

Income Eligibility Guidelines

Gross Monthly Income

Individual

Couple

Benefit

Qualified Medicare Beneficiary ( QMB)

100% FPL

$931

$1,261

• Medicare premiums Part A & B
• deductibles
• co-insurance

Specified Low-Income Medicare Beneficiary (SLMB)

120% FPL

$1,117

$1,513

Medicare Part B premium

Qualified Individual-1 (QI-1)

135% FPL

$1,257

$1,703

Medicare Part B premium

Qualified Working Disabled Individual (QWDI)

200% FPL

$1,862

$2,522

Medicare Part A premium

**The resource limit for all MPAP categories is $6,660 (individual) and $9,900 (couple).**

How do I apply?

Complete and submit an application in one of the following ways:

  • In person at agency during regular business hours (M-F 7:30 am – 4:00 pm)
  • Fax to agency at 419-562-1056
  • Mail to Crawford County JFS, 224 Norton Way, Bucyrus, OH 44820
  • Slip in drop box to east of front door (24/7)
  • Apply online through the State of Ohio – Online Benefit Application

What verifications are needed?

  • Proof of citizenship, or alien registration card/I-9
  • Social Security Card, Birth Certificate, Driver’s License, State ID
  • Proof of all income
  • Proof of resources (bank statements, stocks, bonds, IRA, trusts)
  • Copy of Medicare card
  • Additional verifications may be requested or required

What happens after I submit my application?

  • MPAP applications are processed by a caseworker without a face-to-face appointment.
  • Your application will be processed within 30 days and you will be notified via mail if you are approved or denied.

Nursing Home and Waiver Services

Nursing Homes/Facilities

The Department of Health certifies nursing facilities for participation in the Medicare and Medicaid programs. A nursing home is licensed to provide accommodations, personal care services and skilled nursing care for individuals who by reason of illness or physical or mental impairment require skilled nursing care and of individuals who require personal care services but not skilled nursing care.

 

Medicaid Waiver Programs in Ohio

A Medicaid waiver is a program that "waives," or sets aside, certain requirements of Medicaid and is a way that Medicaid can pay for services to keep you in your home so you do not have to move to a long-term care facility or nursing home. You must need the same level of care as people who live in a long-term care facility, and you must meet the income requirements for Medicaid.

 

There are many factors that determine a person's eligibility for a waiver, such as the type and extent of their disability, the prognosis, and their financial assets. Each waiver provides different types of services.

 

These programs are designed to provide Medicaid coverage in addition to home health services to individuals who meet the Level of Care required to live in a nursing home, yet remain at home.

 

Could I be eligible?

  • Medicaid provides long-term care services for individuals in Nursing Facilities (NFs) and Intermediate Care Facilities for the mentally retarded (ICF-MRs).
  • Home and Community-Based Services Waivers provide home health care to individuals who wish to stay in their home but otherwise need institutional care. The number of consumers that can be enrolled in a waiver program at any one time is limited.
  • Income and resources will be evaluated by an Eligibility Referral Specialist
How do I apply?
  • To apply for Medicaid for an individual going into or currently in a Nursing Facility, complete and submit the following application: (click here)
  • If you do not have an open Medicaid case, you must complete and submit BOTH of the following applications to apply for Password/Waiver services (click here - 7200 form) & (click here - 2399 form)
  • If you do have an open Medicaid case, complete and submit the following application to apply for Passport/Waiver services: (click here - 2399 form)

Complete and submit an application in one of the following ways:

  • In person at agency during regular business hours (M-F 7:30am – 4:00pm)
  • Fax to agency at 419-562-1056
  • Mail to Crawford County JFS, 224 Norton Way, Bucyrus, OH 44820
  • Slip in drop box to east of front door (24/7)
  • Apply online through the State of Ohio – Online Benefit Application

What verifications are needed?

  • Proof of citizenship, or alien registration card/I-9
  • Social Security Card
  • Birth Certificate
  • Driver’s License, State ID
  • Proof of all income (employment, child support, disability, unemployment, etc)
  • All resources (bank statements, stocks, bonds, IRA, trusts)
  • Proof of disability (doctor statement, doctor/hospital records)
  • Social Security award letter (if applicable)
  • Additional verifications may be requested or required

What happens after I submit my application?

  • We offer face to face appointments for you or your Authorized Representative Monday/Tuesday and Thursday/Friday from 8 – 11 am and 1 – 3 PM.
  • If you cannot come to an appointment during regular business hours, you can file an application at any time and we will contact you to make other arrangements.
  • We are required to determine eligibility within 30 days of your application.